The patella in total knee arthroplasty: To resurface or not is the question

Matthew P. Abdel, Sébastien Parratte, Nicolaas C. Budhiparama

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

The decision to resurface the patella during total knee arthroplasty remains controversial. Even though some surgeons routinely resurface the patella to avoid the increased rates of postoperative anterior knee pain and reoperation for secondary resurfacing, others selectively resurface based on the presence of anterior knee pain, notably damaged articular cartilage, inflammatory arthritis, isolated patellofemoral arthritis, and patellar subluxation and maltracking. The anatomy and biomechanics of the patellofemoral joint, combined with advances in surgical technique and prostheses must be taken into account when making a decision to resurface the patella. Accurate component implantation is imperative for a successful outcome if the patella is resurfaced.

Original languageEnglish (US)
Pages (from-to)117-124
Number of pages8
JournalCurrent Reviews in Musculoskeletal Medicine
Volume7
Issue number2
DOIs
StatePublished - Jun 2014

Keywords

  • Patella
  • Patellofemoral joint
  • Resurfaced patella
  • Total knee arthroplasty
  • Unresurfaced patella

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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